Judith Ullom

Developmental Therapist · Champaign, IL

Individual Active NPI

NPI number 1346469228

Practice location

1304 W Bradley Ave
Champaign, IL 61821-2035
Phone
(217) 356-9176
Fax
(217) 356-9851

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NPI record

NPI
1346469228
Entity type
Individual (Type 1)
Enumeration date
April 25, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Judith Ullom

Judith Ullom is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 1304 W Bradley Ave, Champaign, IL 61821-2035. The NPI number 1346469228 was assigned on April 25, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Judith Ullom?

The NPI number is 1346469228.

What is the phone number of Judith Ullom?

The phone number listed for the practice location is (217) 356-9176.

Where is Judith Ullom located?

1304 W Bradley Ave, Champaign, IL 61821-2035.

What is the taxonomy code for Judith Ullom?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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